MESA CT AL MC CARE PROPERTIES LLC NPI 1972081420

NPI Information

MESA CT AL MC CARE PROPERTIES, LLC is an assisted living facility in Mesa, AZ. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MESA CT AL MC CARE PROPERTIES, LLC NPI is 1972081420. The provider is registered as an organization entity type.
The provider Is Doing Business As Courtyard Towers.

The provider's business location address is:

22 N ROBSON
MESA, AZ
ZIP 85201-330
Phone: (480) 649-3000
Fax: (480) 898-7034

The provider's authorized official is Gregory Alan Roderick .
The authorized official title is Managing Member and has the following contact phone number (503) 443-1818.

The CLIA number assigned to this NPI record is 03D1071906 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/6/2018 and was last updated on 8/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.